| NPI | 1245951698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITESH PATEL Pharmacist In Charge 732-252-6455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2022-11-21 |